Serveur d'exploration MERS

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<title xml:lang="en">Development and validation of different indirect ELISAs for MERS-CoV serological testing</title>
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<name sortKey="Al Amri, S" sort="Al Amri, S" uniqKey="Al Amri S" first="S." last="Al-Amri">S. Al-Amri</name>
<affiliation>
<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
</affiliation>
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<author>
<name sortKey="Al Subhi, T" sort="Al Subhi, T" uniqKey="Al Subhi T" first="T." last="Al-Subhi">T. Al-Subhi</name>
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<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
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<author>
<name sortKey="Hassan, A" sort="Hassan, A" uniqKey="Hassan A" first="A." last="Hassan">A. Hassan</name>
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<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
</affiliation>
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<author>
<name sortKey="Azhar, E" sort="Azhar, E" uniqKey="Azhar E" first="E." last="Azhar">E. Azhar</name>
<affiliation>
<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff0010">Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University</nlm:aff>
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<author>
<name sortKey="Hashem, A" sort="Hashem, A" uniqKey="Hashem A" first="A." last="Hashem">A. Hashem</name>
<affiliation>
<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
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<affiliation>
<nlm:aff id="aff0015">Department of Medical Microbiology and Parasitology, Faculty of Medicine, King Abdulaziz University</nlm:aff>
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<title xml:lang="en" level="a" type="main">Development and validation of different indirect ELISAs for MERS-CoV serological testing</title>
<author>
<name sortKey="Al Amri, S" sort="Al Amri, S" uniqKey="Al Amri S" first="S." last="Al-Amri">S. Al-Amri</name>
<affiliation>
<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Al Subhi, T" sort="Al Subhi, T" uniqKey="Al Subhi T" first="T." last="Al-Subhi">T. Al-Subhi</name>
<affiliation>
<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hassan, A" sort="Hassan, A" uniqKey="Hassan A" first="A." last="Hassan">A. Hassan</name>
<affiliation>
<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Azhar, E" sort="Azhar, E" uniqKey="Azhar E" first="E." last="Azhar">E. Azhar</name>
<affiliation>
<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
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<affiliation>
<nlm:aff id="aff0010">Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hashem, A" sort="Hashem, A" uniqKey="Hashem A" first="A." last="Hashem">A. Hashem</name>
<affiliation>
<nlm:aff id="aff0005">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff0015">Department of Medical Microbiology and Parasitology, Faculty of Medicine, King Abdulaziz University</nlm:aff>
</affiliation>
</author>
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<series>
<title level="j">Journal of Infection and Public Health</title>
<idno type="ISSN">1876-0341</idno>
<idno type="eISSN">1876-035X</idno>
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<date when="2019">2019</date>
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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Infect Public Health</journal-id>
<journal-id journal-id-type="iso-abbrev">J Infect Public Health</journal-id>
<journal-title-group>
<journal-title>Journal of Infection and Public Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">1876-0341</issn>
<issn pub-type="epub">1876-035X</issn>
<publisher>
<publisher-name>Published by Elsevier Ltd.</publisher-name>
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<article-meta>
<article-id pub-id-type="pmc">7128511</article-id>
<article-id pub-id-type="publisher-id">S1876-0341(18)30285-5</article-id>
<article-id pub-id-type="doi">10.1016/j.jiph.2018.10.115</article-id>
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<subj-group subj-group-type="heading">
<subject>Article</subject>
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<title-group>
<article-title>Development and validation of different indirect ELISAs for MERS-CoV serological testing</article-title>
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<contrib-group>
<contrib contrib-type="author" id="aut0005">
<name>
<surname>Al-Amri</surname>
<given-names>S.</given-names>
</name>
<xref rid="aff0005" ref-type="aff">1</xref>
<xref rid="cor0005" ref-type="corresp"></xref>
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<contrib contrib-type="author" id="aut0010">
<name>
<surname>Al-subhi</surname>
<given-names>T.</given-names>
</name>
<xref rid="aff0005" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author" id="aut0015">
<name>
<surname>Hassan</surname>
<given-names>A.</given-names>
</name>
<xref rid="aff0005" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author" id="aut0020">
<name>
<surname>Azhar</surname>
<given-names>E.</given-names>
</name>
<xref rid="aff0005" ref-type="aff">1</xref>
<xref rid="aff0010" ref-type="aff">2</xref>
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<contrib contrib-type="author" id="aut0025">
<name>
<surname>Hashem</surname>
<given-names>A.</given-names>
</name>
<xref rid="aff0005" ref-type="aff">1</xref>
<xref rid="aff0015" ref-type="aff">3</xref>
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<label>1</label>
Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University</aff>
<aff id="aff0010">
<label>2</label>
Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University</aff>
<aff id="aff0015">
<label>3</label>
Department of Medical Microbiology and Parasitology, Faculty of Medicine, King Abdulaziz University</aff>
<author-notes>
<corresp id="cor0005">
<label></label>
Corresponding author.</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>8</day>
<month>1</month>
<year>2019</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub" iso-8601-date="2019-02-01">
<season>January-February</season>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>8</day>
<month>1</month>
<year>2019</year>
</pub-date>
<volume>12</volume>
<issue>1</issue>
<fpage>142</fpage>
<lpage>142</lpage>
<permissions>
<copyright-statement>Copyright © 2018 Published by Elsevier Ltd.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder></copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
</article-meta>
</front>
<body>
<p id="par0005">
<bold>Introduction:</bold>
Since 2012, MERS-CoV has caused up to 2,220 cases and 790 deaths in 27 countries with Saudi Arabia being the most affected country with ∼83.1% of the cases and ∼38.8% local death rate. Current serological assays such as microneutralization (MN), plaque reduction neutralization, immunofluorescence, protein microarray or pseudoparticle neutralization assays rely on handling of live MERS-CoV in high containment laboratories or need for expensive and special equipment and reagents and highly trained personnel which represent a technical hurdle for most laboratories in resource-limited MERS-CoV endemic countries. Here, we developed, compared and evaluated three different indirect ELISAs based on different MERS-CoV proteins.</p>
<p id="par0010">
<bold>Materials and Methods:</bold>
MERS-CoV nucleocapsid protein (rN), spike (rS) ectodomain (amino acids 1-1297) and rS1 subunit (amino acids 1-725) proteins were expressed, purified and used for ELISA assay development. Assays were developed using checkerboard titration and finally validated with a total of 353 serum samples collected between 2014 and 2017 from high-risk groups (79 seropositive and 274 seronegative samples) in comparison with MN assay.</p>
<p id="par0015">
<bold>Results:</bold>
Three different ELISAs were developed using MERS-CoV rN, rS1 and rS, and cut-off values were found to be 0.30 for rN-ELISA, 0.26 for rS1-ELISA, and 0.34 for rS-ELISA. Upon validation, both rS1 and rS ELISAs maintained high sensitivity and specificity (≥90%) across a wider range of OD values compared to rN-ELISA. Moreover, rS1- and rS-based ELISAs showed better agreement and correlation with MN assay in contrast to rN-ELISA.</p>
<p id="par0020">
<bold>Conclusions:</bold>
Our data suggest that rS1-ELISA and/or rS-ELISA are more reliable than rN-ELISA as they showed higher sensitivity, specificity, agreement and correlation with MN assay. They could be used independently or in combination in large-scale and high-throughput seroepidemiological screening in MERS-CoV endemic regions as they do not require high containment laboratories and could be adapted easily by any lab.</p>
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